Forms Testing Page Iowa Agribusiness PAC Donation Form This field is hidden when viewing the formNext Steps: Install a Payment Add-OnTo accept donations via this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.PAC Contribution Amount(Required)REMINDER: PAC contributions MUST be from personal funds. DO NOT USE A CORPORATE CREDIT CARD FOR THIS PURPOSE. Gathman-Cogdill PAC Challenge Independent Ag Retailers Cooperative Ag Retailers No Affiliation If you would like your contribution to count toward a PAC Challenge group total, make a selection below. (Not required. Give us a call if you have any questions.)Name(Required) First Last EmailProvide your email to receive a confirmation and receipt. (recommended) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Acknowledgement of Personal Funds(Required)I verify the funds I am contributing are personal funds and that donations of corporate funds are not allowed. I am making a donation of personal funds. Total Complete PaymentClicking submit will take you to our secure credit card processor payment page.
